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Pulmonary hemorrhage during percutaneous radiofrequency ablation: a more frequent complication than assumed?
MedLine Citation:
PMID:  17670096     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To alert clinicians of the underreported complication of intraparenchymal lung hemorrhage during percutaneous radiofrequency ablation (RFA) of primary and secondary pulmonary malignancies. METHODS: Of 101 RF ablations performed in 46 patients, 81 were retrospectively assessed for periprocedural intrapulmonary bleeding. The data was compared with the literature for this minimally invasive interventional treatment as well as with the reported frequency of lung hemorrhage during diagnostic lung biopsies. RESULTS: Our incidence of hemorrhage during percutaneous lung RFA was 5.9%. The reported frequency in the scarce literature available is less than 1%. Data in the literature for percutaneous biopsy-related intraparenchymal hemorrhage ranges from 1.4% for fine-needle aspirations to 29% for core biopsies. CONCLUSION: Intraparenchymal lung hemorrhage during percutaneous RFA of primary and secondary pulmonary malignancies is similar to reported lung hemorrhage for diagnostic core biopsies. We believe this complication to be underreported in the literature.
Authors:
Karin Steinke; Julie King; Derek Glenn; David L Morris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  2     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  462-5     Citation Subset:  -    
Affiliation:
Department of Surgery, UNSW, The St. George Hospital, Pitney Building, Gray Street, Sydney, NSW 2217, Australia. ksteinke@uhbs.ch
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